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1700107976
LARAINE RENE STROM
FARMINGVILLE, NY
NPI
1700107976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 18 004482)
Enumeration Date
2010-06-22
Last Update Date
2012-01-18
Business Address
Mrs. LARAINE RENE STROM LMHC
17 PINE OAKS PL
FARMINGVILLE, NY 11738-1910
Phone number: 631-445-0376
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Mailing Address
Mrs. LARAINE RENE STROM LMHC
17 PINE OAKS PL
FARMINGVILLE, NY 11738-1910
Phone number: 631-445-0376
Copy
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